Taylor, Jessica L

Taylor, Jessica L is an individual health care provider with primary practice located at 10620 Spotsylvania Ave , Fredericksburg VA 22408-2637. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Taylor, Jessica L can be contacted via phone (540) 710-1086.

Contact Information

Primary practice address
10620 Spotsylvania Ave Fredericksburg VA 22408-2637
Phone: (540) 710-1086
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024173708 Virginia
Nursing Service Providers / Registered Nurse 163W00000X RN134886 Arizona

Profile Details

NPI number 1457404287
LBN Legal business name Taylor, Jessica L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Aug 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457404287 NPPES
Arizona Other 156167 AHCCCS NUMBER

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